- |||||||||| Briviact (brivaracetam) / UCB
Clinical, Review, Journal: Antiepileptic Drug Selection According to Seizure Type in Adult Patients with Epilepsy. (Pubmed Central) - Oct 9, 2020 Currently there are 19 antiepileptic drugs approved by the Korean Food and Drug Administration, 18 of which (with the exclusion of brivaracetam) are covered by the National Health Insurance Service in Korea. We reviewed the selection of antiepileptic drugs according to the classification of epileptic seizures.
- |||||||||| Briviact (brivaracetam) / UCB
Clinical, Journal: Brivaracetam efficacy and safety in focal epilepsy. (Pubmed Central) - Sep 17, 2020 Behavioral adverse effects seemed less common that with LEV, and most patients switched to BRV after experiencing behavioral adverse effects on LEV reported improvement. Prior or anticipated intolerability to LEV is the strongest indication for BRV in clinical practice.
- |||||||||| Journal: Timing use of novel anti-epileptic drugs: is earlier better? (Pubmed Central) - Sep 17, 2020
For this reason, the third-generation AEDs may be used earlier and earlier in epileptic patients. Further head-to-head comparisons are needed to determine the exact position of third-generation AEDs relative to conventional AEDs.
- |||||||||| Briviact (brivaracetam) / UCB
Review, Journal: Intravenous Brivaracetam in the Treatment of Status Epilepticus: A Systematic Review. (Pubmed Central) - Sep 13, 2020 The available data suggested that brivaracetam can be a safe treatment option in patients with status epilepticus. The current evidence is however hampered by several confounding factors, and controlled studies are warranted to define the actual benefit of brivaracetam for the treatment of status epilepticus.
- |||||||||| Briviact (brivaracetam) / UCB
Retrospective data, Journal: Brivaracetam substituting other antiepileptic treatments: Results of a retrospective study in German epilepsy centers. (Pubmed Central) - Sep 12, 2020 Incidences of behavioral AEs before (3-month baseline) and after brivaracetam initiation in patients who withdrew levetiracetam were 19.2% and 8.0%, respectively (5.0% and 7.7% in patients who withdrew other AEDs). Brivaracetam was effective and well-tolerated in patients who required a change in AED drug regimen and initiated adjunctive brivaracetam in German clinical practice.
- |||||||||| Briviact (brivaracetam) / UCB
Clinical, Journal: Outcomes in three cases after brivaracetam treatment during pregnancy. (Pubmed Central) - Aug 27, 2020 Brivaracetam was effective and well-tolerated in patients who required a change in AED drug regimen and initiated adjunctive brivaracetam in German clinical practice. While the absence of major congenital malformations in these cases is encouraging, further data are needed to determine the safety of brivaracetam in pregnancy.
- |||||||||| pregabalin / Generic mfg.
Review, Journal: Epilepsy and breastfeeding: from myth to reality (Pubmed Central) - Aug 23, 2020 Lamotrigine, phenobarbital, pregabalin, primidone, tiagabine, eslicarbazepine, brivaracetam, perampanel, zonisamide, lacosamide or the sporadic use of benzodiazepines in low doses are considered quite safe, with a low risk for breastfeeding. The other AEDs present a very low risk for breastfeeding.
- |||||||||| Journal: Treatment of Refractory Convulsive Status Epilepticus: A Comprehensive Review by the American Epilepsy Society Treatments Committee. (Pubmed Central) - Aug 22, 2020
A structured literature search (MEDLINE, Embase, CENTRAL, CINAHL) was performed to identify original studies on the treatment of CRSE in children and adults using IV brivaracetam, ketamine, lacosamide, levetiracetam (LEV), midazolam (MDZ), pentobarbital (PTB; and thiopental), propofol (PRO), and valproic acid (VPA)...For the treatment of established convulsive SE (ie, not RSE), LEV, VPA, and fosphenytoin are likely equally effective, but whether this is also true for CRSE is unknown. Triple-masked, randomized controlled trials are needed to compare the effectiveness of parenteral anesthetizing and nonanesthetizing ASMs in the treatment of CRSE.
- |||||||||| brivaracetam / Generic mfg.
Enrollment open, Trial completion date, Trial primary completion date: Brivaracetam: a Prospective and Multicentre Post-marketing Observational Study (clinicaltrials.gov) - Jul 20, 2020 P=N/A, N=200, Recruiting, Active, not recruiting --> Completed Not yet recruiting --> Recruiting | Trial completion date: Dec 2020 --> Dec 2021 | Trial primary completion date: Jun 2020 --> Dec 2021
- |||||||||| Briviact (brivaracetam) / UCB
Retrospective data, Journal: Relative performance of brivaracetam as adjunctive treatment of focal seizures in adults: a network meta-analysis. (Pubmed Central) - Jun 12, 2020 However, patient heterogeneity within trials and in clinical practice should be considered when interpreting these results. While NMAs are based on the best available evidence the authors suggest that, due to the inability of NMAs to capture unmeasured confounding factors and population heterogeneity, NMAs must not be the sole basis for comparative treatment recommendations.
- |||||||||| brivaracetam / Generic mfg.
Trial completion date, Trial primary completion date: Open-label Long-term Study of Adjunctive Brivaracetam in Pediatric Subjects With Epilepsy (clinicaltrials.gov) - Apr 24, 2020 P3, N=600, Enrolling by invitation, Thus, BRV may have utility in treating acute seizures; further clinical studies are needed for confirmation. Trial completion date: Jul 2022 --> Jun 2021 | Trial primary completion date: Jul 2022 --> Jun 2021
- |||||||||| Afinitor (everolimus) / Novartis
Journal: New anti-epileptic drugs in Paediatrics (Pubmed Central) - Apr 23, 2020 These new molecules have been developed in order to provide a pharmaceutical profile and tolerance superior to the previously available drugs, and it is forecast that as their use increases, their true potential and profile will widen. Furthermore, for the first time in Paediatric Epileptology, the extrapolation of the efficacy data in adults have been used (together with specific safety and pharmacokinetic studies in the paediatric population), in order to speed up their approval for use in the child population.
- |||||||||| carbamazepine / Generic mfg.
Retrospective data, Review, Journal: The medical treatment of epilepsy in the elderly: A systematic review and meta-analysis. (Pubmed Central) - Apr 15, 2020 There is some evidence for AED use in the elderly with epilepsy. More evidence is required, comparing newer AEDs to prior generations as well as examining the effects of determinants such as frailty, to guide clinicians when treating this rapidly growing patient population.
- |||||||||| Briviact (brivaracetam) / UCB
Journal: Effects of cannabidiol on brivaracetam plasma levels. (Pubmed Central) - Apr 15, 2020 One possible mechanism contributing at least partially to increasing BRV level is the inhibition of CYP2C19 by cannabidiol. Further pharmacokinetic studies are required to understand other possible mechanisms of brivaracetam-cannabidiol interaction.
- |||||||||| carbamazepine / Generic mfg.
Journal: Effects of antiepileptic drugs on cortical excitability in humans: A TMS-EMG and TMS-EEG study. (Pubmed Central) - Apr 10, 2020 Findings corroborate the view that the P25 represents axonal excitability of the corticospinal system, the N100 in the nonstimulated hemisphere propagated activity suppressed by inhibition of presynaptic neurotransmitter release, and the P180 late activity particularly sensitive to VGSC blockade. Pharmaco-physiological characterization of TEPs will facilitate utilization of TMS-EEG in neuropsychiatric disorders with altered excitability and/or network connectivity.
- |||||||||| Fycompa (perampanel) / Eisai, Briviact (brivaracetam) / UCB
[VIRTUAL] Epilepsy and women: reproduction (Room: Screen B7) - Apr 9, 2020 - Abstract #EAN2020EAN_1231; New generation AEDs (perampanel, brivaracetam) allowed achieving remission at first and second polytherapy. The reported study was funded by RFFR according to the research project № 18-013-00222
- |||||||||| Fycompa (perampanel) / Eisai, Briviact (brivaracetam) / UCB
Journal: Neural Networks in Generalized Epilepsy and Novel Antiepileptic Drugs. (Pubmed Central) - Feb 16, 2020 In this treatment, perampanel can be combined with other antiepileptic drugs. Brivaracetam, which shows a high affinity for the synaptic vesicle 2A, exerted a good efficacy in the treatment of adult focal seizures and secondarily generalized tonic-clonic seizures.
- |||||||||| lacosamide / Generic mfg., Fycompa (perampanel) / Eisai, Briviact (brivaracetam) / UCB
Review, Journal: Intractable Generalized Epilepsy: Therapeutic Approaches. (Pubmed Central) - Feb 9, 2020 Resective surgical options have demonstrated success in carefully selected patients despite generalized electrographic findings on electroencephalogram. The current literature reflects a widening range of clinical experience with newer anticonvulsant medications including cannabinoids, dietary therapies, surgical approaches, and neurostimulation devices for patients with intractable generalized epilepsy.
- |||||||||| Briviact (brivaracetam) / UCB, carbamazepine / Generic mfg., Trileptal (oxcarbazepine) / Novartis
Real-world Study of Brivaracetam in the US: an Interim Analysis () - Jan 21, 2020 - Abstract #AAN2020AAN_1230; Determine whether BRV retention is associated with lifetime levetiracetam (LEV), lamotrigine (LTG), oxcarbazepine (OXC), or carbamazepine (CBZ) failure. This interim analysis indicates that BRV retention (a measure of effectiveness) at 3 and 6 months is similar between patients that previously failed LEV, LTG, OXC, and CBZ.
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